Clinical Efficacy of Two Different Low-Level Laser Therapies for the Treatment of Trigeminal Neuralgia: A Randomized, Placebo-Controlled Trial

被引:1
作者
Karagozoglu, Irem [1 ]
Demirkol, Nermin [1 ]
Oz, Ozge Parlar [1 ]
Kececi, Gokce [2 ]
Cetin, Beste [2 ]
Ozcan, Mutlu [3 ]
机构
[1] Gaziantep Univ, Fac Dent, Dept Prosthodont, TR-27310 Gaziantep, Turkiye
[2] Kahramanmaras Sutcu Imam Univ, Fac Dent, Dept Prosthodont, TR-46050 Kahramanmaras, Turkiye
[3] Univ Zurich, Ctr Dent Med, Clin Masticatory Disorders & Dent Biomat, CH-8032 Zurich, Switzerland
关键词
clinical trial; trigeminal neuralgia; low-level laser therapy; diode laser; neodymium-doped yttrium aluminum garnet lasers; BRIEF PAIN; DOUBLE-BLIND; MANAGEMENT; INVENTORY; VALIDITY;
D O I
10.3390/jcm13226890
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Trigeminal neuralgia (TN) is a disease that causes severe pain that can seriously affect the quality of life. This study aimed to compare the effectiveness of two different low-level laser therapies (LLLT) as alternatives to medical treatment to reduce pain and improve the quality of life in patients with TN. Methods: A total of 45 patients were randomly divided into 3 groups. In the first group, a new-generation diode laser (GRR laser) was applied at predetermined points in the trigeminal nerve line. In the second group, a low-level neodymium-doped yttrium aluminum garnet (Nd:YAG) laser was applied along the affected nerve line. The placebo group received the same protocol with a Nd:YAG laser without the device switched on. The scores were recorded pre- and post-treatment using the Brief Pain Inventory-Facial (BPI-facial) scale. Results: A statistically significant difference was found between the pre- and post-treatment values of all four variables in the GRR laser, Nd:YAG laser, and placebo groups. When the post-treatment values were compared, statistically significant differences were found between the groups in pain frequency, pain intensity, and interference in facial-specific activities, but no differences were found in general activities. Conclusions: Both LLLTs can be considered alternative treatment modalities for TN, but the GRR laser treatment was more effective than the Nd:YAG laser treatment in reducing pain and improving the quality of life in patients with TN.
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页数:11
相关论文
共 33 条
[1]   Gasserian Ganglion Block With or Without Low-intensity Laser Therapy in Trigeminal Neuralgia: A Comparative Study [J].
Aghamohammadi, Dawood ;
Amirnaseri, Reza ;
Peirovifar, Ali ;
Hossainzadeh, Hamzeh ;
Eidi, Mahmood ;
Ehsaei, Mohammadreza ;
Vahedi, Payman .
NEUROSURGERY QUARTERLY, 2012, 22 (04) :228-232
[2]   Effect of electromagnetic therapy versus low-level laser therapy on diabetic patients with trigeminal neuralgia: a randomized control trial [J].
Al-Azab, Islam M. ;
Abo Elyazed, Tamer I. ;
El Gendy, Amira M. ;
Abdelmonem, Asmaa F. ;
Abd El-Hakim, Ahmed A. ;
Sheha, Samah M. ;
Mohammed, Amira H. .
EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE, 2023, 59 (02) :183-191
[3]   Investigation of the effect of GaAs laser therapy on cervical myofascial pain syndrome [J].
Altan, L ;
Bingöl, U ;
Aykaç, M ;
Yurtkuran, M .
RHEUMATOLOGY INTERNATIONAL, 2005, 25 (01) :23-27
[4]   The Adjunct Therapeutic Effect of Lasers with Medication in the Management of Orofacial Pain: Double Blind Randomized Controlled Trial [J].
Amanat, Dariush ;
Ebrahimi, Hooman ;
Lavaee, Fatemeh ;
Alipour, Abbass .
PHOTOMEDICINE AND LASER SURGERY, 2013, 31 (10) :474-479
[5]  
Asnaashari M, 2013, J LASERS MED SCI, V4, P57
[6]   Assessment of visual analog versus categorical scale for measurement of osteoarthritis pain [J].
Averbuch, M ;
Katzper, M .
JOURNAL OF CLINICAL PHARMACOLOGY, 2004, 44 (04) :368-372
[7]   European Academy of Neurology guideline on trigeminal neuralgia [J].
Bendtsen, L. ;
Zakrzewska, J. M. ;
Abbott, J. ;
Braschinsky, M. ;
Di Stefano, G. ;
Donnet, A. ;
Eide, P. K. ;
Leal, P. R. L. ;
Maarbjerg, S. ;
May, A. ;
Nurmikko, T. ;
Obermann, M. ;
Jensen, T. S. ;
Cruccu, G. .
EUROPEAN JOURNAL OF NEUROLOGY, 2019, 26 (06) :831-849
[8]   A new classification for facial pain [J].
Burchiel, KJ .
NEUROSURGERY, 2003, 53 (05) :1164-1166
[9]  
Chen H Isaac, 2010, Clin Neurosurg, V57, P129
[10]   Guidelines for the management of trigeminal neuralgia [J].
Chong, Mun Seng ;
Bahra, Anish ;
Zakrzewska, Joanna M. .
CLEVELAND CLINIC JOURNAL OF MEDICINE, 2023, 90 (06) :355-362